Guided Imagery ExerciseGuided ImageryNCT07552090
Guided Imagery Exercise for Surgical Fear and Perioperative Comfort in TURP Patients
A study testing Guided Imagery in people with Guided Imagery Exercise, run by Atlas University.
Trial summary
Objective: This randomized controlled trial aims to evaluate the impact of guided imagery exercises on surgical fear and perioperative comfort in patients undergoing Transurethral Resection of the Prostate (TURP). Read more about this study
- Who is it for?
- Ages 18 years and olderHealthy volunteers can take part
- Conditions the study is for
- Guided Imagery Exercise
- What is being tested?
- Guided Imagery
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 70 participants
- Where
- No sites listed yet
- Study dates
- 20 Apr 2026to 30 Jun 2026
- Phase
- Interventional
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- Healthy volunteers accepted
- Adult, Older adult
Who may be able to join
- TUR-T surgery performed on Patients over 18 years of age
Who cannot join
- Patients undergoing emergency surgery Patients under 8 years of age
Trial locations and contacts
No sites are listed yet. Contact the study team or a site near you to ask about taking part.
About this study
Official title: The Effect of Guided Imagery Exercises on Surgical Anxiety and Perioperative Comfort in Patients Undergoing Transurethral Prostate Resection:
Objective: This randomized controlled trial aims to evaluate the impact of guided imagery exercises on surgical fear and perioperative comfort in patients undergoing Transurethral Resection of the Prostate (TURP).
Background: Transurethral Resection of the Prostate (TURP) remains the gold standard surgical treatment for Benign Prostatic Hyperplasia (BPH). Despite its efficacy, a significant majority of patients (60-80%) experience substantial surgical fear, which can negatively affect their recovery and perioperative comfort. Guided imagery is a non-pharmacological, cognitive-behavioral technique that utilizes mental visualization to activate the mind-body connection, reduce sympathetic activity, and promote relaxation.
Methods: Grounded in Kolcaba's Comfort Theory, this study investigates the relationship between guided imagery and the multi-dimensional aspects of patient comfort (physical, psycho-spiritual, environmental, and socio-cultural). The intervention group will receive structured guided imagery sessions designed to reduce physiological stress responses and enhance emotional regulation, while the control group will receive standard care.
- Conditions
- Guided Imagery Exercise
- Being tested
- Guided Imagery
- Keywords
- Guided Imagery Exercise, Transurethral Prostate Resection, surgical fear
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Guided ImageryOther
The first session will include information on preoperative procedures, while the second and third sessions will cover postoperative procedures. Guided imagery exercises will be administered using wireless over-ear headphones in a total of three sessions: once before surgery, once on the first day after surgery, and once on the second day after surgery.
| Study group | Role | What they receive |
|---|---|---|
| Control group | No intervention | Not described |
| Guided Imagery group | Experimental | Not described Receives: Other: Guided Imagery |
What is being measured
The primary outcome is the main question the study is designed to answer.
surgical fear
The scale was developed by Burton et al. in 2018. The Turkish validity and reliability study was conducted by Topçu et al. (2023). The scale has four sub-dimensions: health-related anxieties (items 7, 9, 10, 11, 12, and 13), recovery-related anxieties (items 14, 15, 16, and 17), surgical procedure-related anxieties (items 1, 2, 4, and 8), and invasive procedure-related anxieties (items 3, 5, and 6). The items are scored as follows: 0 = "I am not anxious at all", 1 = "I am slightly anxious", 2 = "I am somewhat anxious", 3 = "I am very anxious", and 4 = "I am extremely anxious". The scale contains a total of 17 items. There are no reversed items in the scale. Total and subscale total scores are calculated by summing the total scores of the items they contain. The lowest possible score on the scale is 0 and the highest is 68. The scale has no cutoff point, and higher scores indicate higher levels of anxiety in patients.
Measured: Preoperative period, postoperative days 1 and 2.
Secondary outcomes (1)
The Surgical Recovery Scale
The Surgical Recovery Scale reliably measures functional patient recovery after surgery. The scale was developed by Paddison et al. (2011) to measure postoperative recovery. The Turkish validity and reliability study was conducted by Yılmaz and Yayla (2025). The scale consists of two sub-dimensions: "Impact on energy" and "Impact on daily activities." For the first sub-dimension, responses such as "Not exactly", "Almost never", "Sometimes", "Quite often", "Very often", and "Always" are expected, while for the second sub-dimension, these responses are "Not exactly", "Occasionally", "Less than normal", "Almost as often as usual", "As often as usual", and "None". The scale consists of 13 items; items 2, 4, 5, 6, and 7 of the first 8 items belonging to the first dimension are reverse Likert-type, and the second sub-dimension consists of the last 5 items. Scores obtained from the scale range from 8 to 73. An increase in the scores obtained from the scale indicates that the improvement is a
Measured: pre-surgery, post-operative day 1, day 2
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted27 Apr 2026
- Study start20 Apr 2026 (estimated)
- Primary completion30 May 2026 (estimated)
- Study completion30 Jun 2026 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Guided Imagery ExerciseStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Other
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Model description
- This randomized controlled trial divides patients into control and experimental groups. While the control group receives standard care, the experimental group receives three sessions (pre-op, post-op days 1 and 2) of guided imagery via wireless headphones. The 40-minute audio, prepared by a psychiatric nursing specialist, consists of 10 minutes of relaxation training and 30 minutes of positive visualization focusing on surgical success and rapid recovery.
- Masking
- Single blind
- Who is masked
- Outcomes assessor
- Enrolment
- 70 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Atlas University
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Cagla Toprak, Atlas University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07552090
- Sponsor's protocol ID
- 18.11.2025
- Acronym
- Guided Imagery
- Status last verified
- Apr 2026
- First submitted
- 15 Apr 2026
- Last updated
- 27 Apr 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Ramesh, C., Nayak, B. S., & Pai, V. B. (2020). Guided imagery on anxiety, stress, and comfort level among patients undergoing surgery: A randomized controlled trial. Journal of Clinical Nursing, 29(9-10), 1696-1705.
Study at a glance
From the registry record, last updated by the sponsor on 27 Apr 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- The Effect of Guided Imagery Exercises on Surgical Anxiety and Perioperative Comfort in Patients Undergoing Transurethral Prostate Resection:
- ClinicalTrials.gov ID
- NCT07552090
- Acronym / sponsor ID
- Guided Imagery / 18.11.2025
- Conditions
- Guided Imagery Exercise
- Keywords
- Guided Imagery Exercise, Transurethral Prostate Resection, surgical fear
- Study type
- Interventional
- Recruitment status
- Not yet recruiting
- Enrolment
- 70 participants (estimated)
- Lead sponsor
- Atlas UniversityUniversity, hospital or other
- Study start
- 20 Apr 2026 (estimated)
- Primary completion
- 30 May 2026 (estimated)
- Study completion
- 30 Jun 2026 (estimated)
- First posted
- 27 Apr 2026 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Objective: This randomized controlled trial aims to evaluate the impact of guided imagery exercises on surgical fear and perioperative comfort in patients undergoing Transurethral Resection of the Prostate (TURP).
Background: Transurethral Resection of the Prostate (TURP) remains the gold standard surgical treatment for Benign Prostatic Hyperplasia (BPH). Despite its efficacy, a significant majority of patients (60-80%) experience substantial surgical fear, which can negatively affect their recovery and perioperative comfort. Guided imagery is a non-pharmacological, cognitive-behavioral technique that utilizes mental visualization to activate the mind-body connection, reduce sympathetic activity, and promote relaxation.
Methods: Grounded in Kolcaba's Comfort Theory, this study investigates the relationship between guided imagery and the multi-dimensional aspects of patient comfort (physical, psycho-spiritual, environmental, and socio-cultural). The intervention group will receive structured guided imagery sessions designed to reduce physiological stress responses and enhance emotional regulation, while the control group will receive standard care.
Study design
- Primary purpose
- Other
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (outcomes assessor)
- Number of arms
- 2
- Model description
- This randomized controlled trial divides patients into control and experimental groups. While the control group receives standard care, the experimental group receives three sessions (pre-op, post-op days 1 and 2) of guided imagery via wireless headphones. The 40-minute audio, prepared by a psychiatric nursing specialist, consists of 10 minutes of relaxation training and 30 minutes of positive visualization focusing on surgical success and rapid recovery.
| Arm | Type | Receives |
|---|---|---|
| Control group | No intervention | – |
| Guided Imagery group | Experimental | Other: Guided Imagery |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (1 listed)
- TUR-T surgery performed on Patients over 18 years of age
Key exclusion criteria (1 listed)
- Patients undergoing emergency surgery Patients under 8 years of age
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Guided ImageryThe first session will include information on preoperative procedures, while the second and third sessions will cover postoperative procedures. Guided imagery exercises will be administered using wireless over-ear headphones in a total of three sessions: once before surgery, once on the first day after surgery, and once on the second day after surgery. | Other | Guided Imagery group |
Primary outcome
surgical fear
Time frame: Preoperative period, postoperative days 1 and 2.
The scale was developed by Burton et al. in 2018. The Turkish validity and reliability study was conducted by Topçu et al. (2023). The scale has four sub-dimensions: health-related anxieties (items 7, 9, 10, 11, 12, and 13), recovery-related anxieties (items 14, 15, 16, and 17), surgical procedure-related anxieties (items 1, 2, 4, and 8), and invasive procedure-related anxieties (items 3, 5, and 6). The items are scored as follows: 0 = "I am not anxious at all", 1 = "I am slightly anxious", 2 = "I am somewhat anxious", 3 = "I am very anxious", and 4 = "I am extremely anxious". The scale contains a total of 17 items. There are no reversed items in the scale. Total and subscale total scores are calculated by summing the total scores of the items they contain. The lowest possible score on the scale is 0 and the highest is 68. The scale has no cutoff point, and higher scores indicate higher levels of anxiety in patients.
1 secondary outcome
The Surgical Recovery Scale
Time frame: pre-surgery, post-operative day 1, day 2
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 27 Apr 2026.
- Results publicationRamesh, C., Nayak, B. S., & Pai, V. B. (2020). Guided imagery on anxiety, stress, and comfort level among patients undergoing surgery: A randomized controlled trial. Journal of Clinical Nursing, 29(9-10), 1696-1705.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
Questions about this trial
What is this clinical trial studying?
A study testing Guided Imagery in people with Guided Imagery Exercise, run by Atlas University.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 1 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: opening soon, as of the sponsor's last update on 27 Apr 2026. Status can change between updates, so confirm with the study contact before making plans.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact çağla toprak Dr (532 799 799 78 14, caykinn@gmail.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
surgical fear (time frame: Preoperative period, postoperative days 1 and 2.). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT07552090, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 27 Apr 2026.